Implementing root cause analysis and action: integrating human factors to create strong interventions and reduce risk of patient harm.

Laurie Wolf; Kristen Gorman; Joshua Clark; Jonathan Gleason; Sarah Henrickson Parker

Study

Implementing root cause analysis and action: integrating human factors to create strong interventions and reduce risk of patient harm.

July 20, 2022

Wolf L, Gorman K, Clark J, et al. J Patient Saf. 2022;18(8):e1160-e1166.

View more articles from the same authors.

Human factors play an important role in contributing to and preventing adverse events. This study found that integrating human factors into a new root cause analysis process led to an increase in the number of strong interventions implemented after adverse events.

PubMed citation

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Implementing root cause analysis and action: integrating human factors to create strong interventions and reduce risk of patient harm.

Ambulatory Safety Nets to Reduce Missed and Delayed Diagnoses of Cancer

Remote Response Team and Customized Alert Settings Help Improve Management of Sepsis

Patient Safety Indicators.

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